| NPI | 1780764472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G57144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G57144) |
| 208M00000X Hospitalist (Licence: CA G57144) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-07-01 |